Active NPI
Chad M Dubois, DO
- Hospitalist Physician
- Dover, NH
National Provider Identifier
1922268549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 15406
- Practice address
- 789 Central Avenue
Dover, NH 03820-2526 - Phone
- (603) 740-2503
- Fax
- (603) 740-2497
- NPI assigned
- Jun 17, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 15406 | NH | Primary |
Addresses
Primary practice location
789 Central Avenue
Dover, NH 03820-2526
Mailing address
789 Central Avenue
Dover, NH 03820-2526
Phone (603) 740-2503
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3075591 | Medicaid | NH | |
| P01059400 | Other | NH | RR MEDICARE |
| 1922268549 | Medicaid | ME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376438400000",
"number": "1922268549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "789 CENTRAL AVENUE",
"city": "DOVER",
"state": "NH",
"postal_code": "038202526",
"telephone_number": "603-740-2503",
"fax_number": "603-740-2497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "789 CENTRAL AVENUE",
"city": "DOVER",
"state": "NH",
"postal_code": "038202526",
"telephone_number": "603-740-2503",
"fax_number": "603-740-2497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUBOIS",
"first_name": "CHAD",
"middle_name": "M",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-17",
"last_updated": "2013-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NH",
"license": "15406",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3075591",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01059400",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1922268549",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dover, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.